CPT code 99447: Interprofessional consult, 11–20 minutes2026 Medicare rate & RVUs in Tennessee

A consulting physician reports an interprofessional medical review and clinician discussion lasting 11–20 minutes, with verbal and written guidance for the treating professional.

CMS RVU26DEffective Oct 1, 2026One payment locality10.3K Medicare services in 2024

In Tennessee, Medicare pays $35.87 for 99447 in the office and $30.40 when it’s performed in a hospital or facility.

$35.87Office (non-facility)
$30.40Hospital or facility
−5.8%vs the national office rate ($38.08)

Check a contract rate as a % of Medicare · 99447 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99447 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 99447 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99447 covers

99447 captures a remote consultation in which a treating clinician seeks another physician’s assessment of a particular patient’s care. The consultant reviews relevant records and discusses findings or management by telephone, internet, or electronic health record, then provides verbal and written feedback to the requesting clinician. For example, a primary care clinician may ask a cardiologist to review a patient’s clinical information and advise on management. The consultant reports the service; the treating clinician does not report 99447 for requesting the advice.

Choose 99447 when documented medical consultative review and discussion time totals 11–20 minutes. Record the request, material reviewed, discussion, recommendations, and report. The verbal and written report are integral to this consultation, not separate services under 99447. CMS physician fee schedule valuation includes physician work, practice expense, and malpractice; practice-expense valuation differs between office and facility settings.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Tennessee compares for 99447

Across 109 of 109 payment localities, the office rate for 99447 runs from $35.20 in Arkansas to $49.52 in Alaska. Tennessee pays $35.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

99447 in Tennessee vs other payment areas
  1. Tennessee · this page$35.87
  2. Los Angeles, CA · California$40.51+$4.64
  3. Washington, DC area · District of Columbia$41.80+$5.93
  4. Miami, FL · Florida$42.16+$6.29
  5. Chicago, IL · Illinois$41.33+$5.46
  6. Manhattan, NY · New York$42.95+$7.08
  7. Alaska · Alaska$49.52+$13.65

Other areas in Tennessee first, then benchmark localities. Bars start at $0.

Every other payment area

99447 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$35.52$30.26
ArkansasArkansas$35.20$30.04
ArizonaArizona$37.36$31.53
Bakersfield, CACalifornia$38.79$32.20
Chico, CACalifornia$38.58$31.99
El Centro, CACalifornia$38.59$32.00
Fresno, CACalifornia$38.58$31.99
Hanford, CACalifornia$38.58$31.99

99447 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$35.20

$49.52

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99447 office rate range by state
State / territoryOffice rate rangeLocalities
AK$49.521
AL$35.521
AR$35.201
AZ$37.361
CA$38.58–$45.0329
CO$38.641
CT$39.991
DC$41.801
DE$37.811
FL$38.71–$42.163
GA$37.19–$38.812
GU$38.791
HI$38.791
IA$35.621
ID$35.861
IL$38.32–$41.334
IN$35.971
KS$35.731
KY$36.511
LA$36.56–$37.672
MA$38.63–$41.182
MD$38.27–$41.803
ME$36.20–$37.102
MI$37.30–$39.252
MN$36.791
MO$36.31–$37.493
MS$35.751
MT$38.071
NC$36.401
ND$36.691
NE$35.671
NH$38.291
NJ$40.38–$41.692
NM$37.521
NV$37.701
NY$36.76–$43.915
OH$37.021
OK$36.231
OR$37.33–$39.222
PA$36.94–$39.462
PR$38.181
RI$38.681
SC$36.791
SD$36.521
TN$35.871
TX$36.80–$39.068
UT$37.101
VA$37.18–$41.802
VI$38.181
VT$36.801
WA$38.48–$41.622
WI$35.941
WV$37.471
WY$37.471

See 99447 in every payment locality

How the 99447 rate is calculated

Each of 99447’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99447

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.70

0.70 RVUs× 1.000 GPCI

Practice expense0.37

0.37 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.1400

Conversion factor

$33.4009

Medicare rate

$38.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,114

Code
99447
Physician work
0.70
Practice expense
0.37
Malpractice
0.07

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 99447 in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.70× 1.0000.7000
Practice expense0.37× 0.9090.3363
Malpractice0.07× 0.5370.0376
Total RVUs1.0739
Conversion factor× 33.4009

Office rate, Tennessee$35.87

Office: (0.7 × 1 + 0.37 × 0.909 + 0.07 × 0.537) × $33.4009 = $35.87

Facility: (0.7 × 1 + 0.19 × 0.909 + 0.07 × 0.537) × $33.4009 = $30.40

Open 99447 in the RVU calculator

Payment rules and modifiers for 99447

99447 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 99447

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$38.08

Non-facility (office)
$38.08
Facility
$32.06

Higher because the practice carries its own overhead.

How 99447 has changed in Tennessee

99447 · Office / nonfacility

$35.87

Effective 2026-10-01

The base rate is $3.19 higher than on 2025-10-01, moving from $32.68 to $35.87 (9.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $32.68changed to$35.87

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.31 changed to 0.37
    • Malpractice RVU 0.06 changed to 0.07
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $33.81changed to$32.68

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $33.26changed to$33.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $33.56changed to$33.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.29 changed to 0.31
    • Malpractice RVU 0.06 changed to 0.07
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $34.37changed to$33.56

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $31.99changed to$34.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.21 changed to 0.29
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $35.11changed to$31.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.27 changed to 0.21
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $34.75changed to$35.11

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$34.75

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2014

    RVU14A

    No ratechanged toNo rate

    Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$35.87$30.40RVU26D
2026-07-01$35.87$30.40RVU26C
2026-04-01$35.87$30.40RVU26B
2026-01-01$35.87$30.40RVU26A
2025-10-01$32.68$32.68RVU25D
2025-07-01$32.68$32.68RVU25C
2025-04-01$32.68$32.68RVU25B
2025-01-01$32.68$32.68RVU25A
2024-10-01$33.81$33.81RVU24D
2024-07-01$33.81$33.81RVU24C
2024-04-01$33.81$33.81RVU24B
2024-03-09$33.81$33.81RVU24AR
2024-01-01$33.26$33.26RVU24A
2023-10-01$33.56$33.56RVU23D
2023-07-01$33.56$33.56RVU23C
2023-04-01$33.56$33.56RVU23B
2023-01-01$33.56$33.56RVU23A
2022-10-01$34.37$34.37RVU22D
2022-07-01$34.37$34.37RVU22C
2022-04-01$34.37$34.37RVU22B
2022-01-01$34.37$34.37RVU22A
2021-10-01$31.99$31.99RVU21D
2021-07-01$31.99$31.99RVU21C
2021-04-01$31.99$31.99RVU21B
2021-01-01$31.99$31.99RVU21A
2020-10-01$35.11$35.11RVU20D
2020-07-01$35.11$35.11RVU20C
2020-04-01$35.11$35.11RVU20B
2020-01-01$35.11$35.11RVU20A
2019-10-01$34.75$34.75RVU19D
2019-07-01$34.75$34.75RVU19C
2019-04-01$34.75$34.75RVU19B
2019-01-01$34.75$34.75RVU19A
2018-10-01Separate payment rules applySeparate payment rules applyRVU18D
2018-07-01Separate payment rules applySeparate payment rules applyRVU18C
2018-04-01Separate payment rules applySeparate payment rules applyRVU18B
2018-01-01Separate payment rules applySeparate payment rules applyRVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Separate payment rules applySeparate payment rules applyRVU16D
2016-07-01Separate payment rules applySeparate payment rules applyRVU16C
2016-04-01Separate payment rules applySeparate payment rules applyRVU16B
2016-01-01Separate payment rules applySeparate payment rules applyRVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01Separate payment rules applySeparate payment rules applyRVU14D
2014-07-01Separate payment rules applySeparate payment rules applyRVU14C
2014-04-01Separate payment rules applySeparate payment rules applyRVU14B
2014-01-01Separate payment rules applySeparate payment rules applyRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 99447 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

99447 billing questions

How does 99447 differ from 99446 or 99448?

Select by documented medical consultative review and discussion time: 99447 is for 11–20 minutes. The neighboring codes represent shorter or longer time bands.

Does 99447 include the consultant’s report?

Yes. The service includes verbal and written feedback to the treating or requesting clinician; those reports are not separate 99447 services.

What time should the record support?

Document the medical consultative review and discussion time that supports the 11–20-minute band, along with the records reviewed and advice given.

When would 99451 be considered instead?

99451 is the related interprofessional consultation option when reporting the consultant’s medical consultative time with a written report under that code’s criteria. 99447 represents the 11–20-minute discussion-and-review band and includes verbal and written feedback.

Who reports 99447?

The consulting physician reports it for the requested assessment and advice. The treating clinician who requested the consultation does not report 99447 for making the request.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 99447PPRRVU2026_Oct_nonQPP.csv, line 13,114 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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